# STARLIGHT MEDICAL SUPPLY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346405966
- **Authorized official:** MR. TED D WADE (CEO)
- **Authorized official phone:** (727) 403-7597

## Contact information

- **Practice address:** 6435 CENTRAL AVE, ST PETERSBURG, FL 33710-8411
- **Practice address phone:** (727) 828-0770
- **Practice address fax:** (727) 549-1768
- **Mailing address:** 6860 GULFPORT BLVD S STE 270, SOUTH PASADENA, FL 33707-2108
- **Mailing address phone:** (727) 828-0770
- **Mailing address fax:** (727) 549-1768

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 07/23/2008
- **Last updated:** 07/23/2008